Individual
SHIVANI BASHIYAN KAUSHIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1816 DOCTORS DR, SANFORD, NC 27330-5057
(919) 708-1555
(919) 708-1556
Mailing address
205 PAGE RD, PINEHURST, NC 28374-8798
(919) 627-3540
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2022-00607
NC
207N00000X
Dermatology Physician
25MA10816500
NJ
207N00000X
Dermatology Physician
P92884
NY
Other
Enumeration date
06/16/2014
Last updated
03/23/2025
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